MRS. MARY KATTHERINE CAMPBELL (NPI# 1104909563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104909563 |
| Entity Type | Individual |
| Full Name | MRS. MARY KATTHERINE CAMPBELL |
| Credential | RN |
| Practice Address |
103 Herbert Dr Beckley WV 25801-2186 |
| Practice Telephone | 3048900263 |
| Practice Fax Number | 3042539569 |
| Mailing Telephone | 3048900263 |
| Mailing Fax Number | 3042539569 |
| Enumeration Date | 2006-10-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 011870 | WV | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124588082 | Mary Campbell | Contractor | 6220 Shallowford Rd Apt 573, Chattanooga, TN 37421-6921 | 2019-03-25 |
| 1447720453 | Mary Campbell | Counselor | 1264 Concord Rd Se Ste 106, Smyrna, GA 30080-5302 | 2018-12-03 |
| 1124594445 | Mary Elizabeth Campbell | Counselor | 1472 Morton Cir Apt C, Claremont, CA 91711-5717 | 2018-10-15 |
| 1598277626 | Mary N Campbell | In Home Supportive Care | 1000 W Poinsett St, Greer, SC 29650-1313 | 2017-10-30 |
| 1962959114 | Mary E Campbell | Physical Therapist | 1249 W Liebau Rd Ste 100, Mequon, WI 53092-3397 | 2016-09-06 |
| 1063860443 | Mary Melissa Campbell | Acupuncturist | 213 Route 37 E, Toms River, NJ 08753-5563 | 2016-05-26 |
| 1447633318 | Mary Campbell | Adult Companion | 9711 Autoville Dr, College Park, MD 20740-1303 | 2015-07-09 |
| 1720323090 | Mary P. Campbell | Registered Nurse | 2409 Foxglove Rd, Wausau, WI 54401-8578 | 2012-11-28 |
| 1821348855 | Mary Kathryn Campbell | Speech-Language Pathologist | 315 E Union, Osceola, AR 72370 | 2012-09-18 |
| 1932402682 | Mary Campbell | Licensed Practical Nurse | 2302 W. 28th, Suite A, Pine Bluff, AR 71603 | 2010-12-17 |
| Street Address |
103 HERBERT DR |
| City | BECKLEY |
| State | WV |
| Zip Code | 25801-2186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144835190 | Misty Dawn Chambers | Psychologist | 154 Lagoon Way, Beckley, USA 25801 | 2020-09-15 |
| 1912511437 | Katherine Lynne Mcghee | Technician | 120 Schlager Dr., Beckley, WV 25801 | 2020-09-02 |
| 1255942421 | Tyesha Burger | Technician | 442 Industrial Dr, Beckley, WV 25801 | 2020-08-12 |
| 1053920553 | Angela Sanches | Case Manager/Care Coordinator | 134 Gooseberry Ln, Beckley, WV 25801 | 2020-07-30 |
| 1871119933 | Tiffani Michelle Dale | Counselor | 111 Coral Court, Apt 5, Beckley, WV 25801 | 2020-06-24 |
| 1679046049 | Liberty Dental Centers | Dentist | 102 Galleria Plaza, Beckley, WV 25801 | 2019-01-08 |
| 1952884942 | Susan Rae Rash | Nurse Practitioner | 250 Stanaford Rd Ste 203, Beckley, WV 25801 | 2018-09-14 |
| 1689169039 | Megan Rae Walker | Dentist | 3153 Robert C. Byrd Drive, Beckley, WV 25801 | 2018-06-28 |
| 1104318625 | Mountain State Vascular, Inc. | Surgery | 121 George Street, Beckley, WV 25801 | 2018-05-31 |
| 1356841100 | Harper Road Treatment Center LLC | Family Medicine | 1802 Harper Rd Ste 202, Beckley, WV 25801 | 2018-02-19 |
| Find all providers in zip 25801 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053933028 | Oxy Pam II LLC | Durable Medical Equipment & Medical Supplies | 117 Lee St, Beckley, WV 25801-6037 | 2020-05-13 |
| 1154828671 | Raleigh General Hospital LLC | Durable Medical Equipment & Medical Supplies | 1717 Harper Rd Ste C, Beckley, WV 25801-3373 | 2018-04-11 |
| 1922506161 | West Virginia Vascular Institute Pllc | Durable Medical Equipment & Medical Supplies | 250 Stanaford Rd Ste 202, Beckley, WV 25801-3140 | 2018-01-23 |
| 1255589503 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 2933 Robert C Byrd Dr, Beckley, WV 25801-4447 | 2008-08-28 |
| 1548328909 | Lillys Home Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 479 N Vance Dr, Beckley, WV 25801-4158 | 2006-12-05 |
| 1427157387 | Eyewear Express Ltd., Inc | Durable Medical Equipment & Medical Supplies | 229 Market Rd, Beckley, WV 25801-7114 | 2006-09-21 |
| 1407959166 | West Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1827 Harper Rd, Beckley, WV 25801-3330 | 2006-09-07 |
| 1275636631 | West Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2811 Robert C Byrd Dr, Beckley, WV 25801-5241 | 2006-09-07 |
| 1184735250 | Rite Aid of West Virginia Inc | Durable Medical Equipment & Medical Supplies | 1731 Harper Road, Beckley, WV 25801-3311 | 2006-08-31 |
| 1417068503 | Rite Aid of West Virginia Inc | Durable Medical Equipment & Medical Supplies | 719 Johnstown Road, Beckley, WV 25801 | 2006-08-31 |
| Find all providers in BECKLEY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.